Halley Marie Friedeman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226005 Issued in AZ

Practice address

Hwy Junction 57, RT9
Crownpoint, NM 87313

Phone

(505) 786-5291

Fax

(505) 786-6435

NPI assigned

Sep 16, 2019

Last updated

Sep 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponca Tribe of NebraskaGroup PAC ID 0648169177, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ponca Tribe of Nebraska

  dba Fred LeRoy Health & Wellness Center

  • Clinic/Center
  • Omaha, NE
  • NPI 1710172879

  TX

  Medicare reassignment Care Compare group NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment NPD
• Pueblo Pintado Clinic

  • Clinic/Center
  • Cuba, NM
  • NPI 1023051133
  NPD
• Thoreau Clinic

  • Clinic/Center
  • Thoreau, NM
  • NPI 1679516702
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1811547409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 358",
            "address_2": "HWY JUNCTION 57, RT9 CROWNPOINT, NM 87313",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "87313",
            "telephone_number": "505-786-5291",
            "fax_number": "505-786-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY JUNCTION 57, RT9",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "87313",
            "telephone_number": "505-786-5291",
            "fax_number": "505-786-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEMAN",
        "first_name": "HALLEY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Air Med
• Darlington Friday Egbu, PHARMACIST
• Monica Eggleston, RN MSN
• Sandra Ferguson, RDH
• Raul Flores
• Eugene Guei, PHARM D
• Tania Hurlbutt, MD
• Tiffani Jackson, OD
• Pearl J. James, LADAC
• Caroline Jensen, PHARMD

• Family Nurse Practitioner in Crownpoint, NM
• Providers in Crownpoint, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.